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'oPqulN. c <br /> 2` ? SAN JOAQUIN COUNTY <br /> Y ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209) 464-3433 Web:www.sjgov.org/ehd <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: <br /> Quick Shop DATE: Mar 11, 2015 <br /> ADDRESS: 2072 W Yosemite Ave. CITY: <br /> Manteca ZIP CODE: 95367 <br /> owNER/oPERAIOR: --FChris Adams(Elite IV Contractors Inc technician <br /> TELEPHONE#: 209 461-6337 <br /> TYPE OF INSPECTION: 1:1COMPLAINT ElCONSULTATION 0 OTHER PROGRAM 2545 RECORD <br /> ELEMENT: ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> Chris Adams (technician) of Elite IV Contractors Inc. (2535 Wigwam Dr. Stockton, CA 95205 (209) <br /> 461-6337) was working on the hose of dispenser number 7 and spilled approximately 7.5 gallons of <br /> fuel. <br /> w <br /> OBSERVATIONS/COMMENTS: <br /> On site to verify spill location and verify clean up. <br /> i <br /> Xi <br /> CORRECTIVE ACTIONS: <br /> The business operator of Quick Shop was on site and used absorbent to clean up the spill. The `"q <br /> waste generated was placed into the Quick Shop hazardous waste container for contaminated y <br /> absorbent. <br /> R`?R <br /> Submit a copy of the hazardous waste manifest for the proper disposal of the contaminated <br /> absorbent. ?_ <br /> Time spent on this issue may be billed at EHD's current hourly rate. <br /> CORRECT BY: <br /> 71NS7PECT7EDBTy:Aq <br /> RECEIVED BY: rl � <br /> 1 VVW"'II'KKK///UUU11 L DATE: i r�(J c'cA <br /> EHD 48-05 Rev.04/19/12 <br /> INSPECTION REPORT <br />